An innovative elastic suture (Elasticum), which can be mounted either on the two tipped-needle (Jano needle) or on a normal 3/8 circle cutting needle, is used to perform Elastic Plastic Surgery.
The numerous applications of Elastic Plastic Surgery range from large scar revision to face-lifting, etc.
Video Languages: English - Italian - Spanish 001 Title
1:18 Dissection above the Loré’s fascia
3:05 Elastic thread implant through theLore’s fascia
6:46 .The elastic thread is pulled through the Loré’sfascia
Video Languages: English - Italian - Spanish Elastic MACS and neck lifting is an extremely efficacious mini-invasive ambulatory procedure that can replace traditional lifting of the face and neck.
Before the procedure is started, a few millimetres of the sideburns are shaved off. The skin incision, which will loop around the sideburn and stop at the tragus, is marked out in this shaved area. Elastic neck lifting is also carried out through this small incision. Now, a line is drawn from the lower part of the wing of the nose to the point where the earlobe terminates. Next, the vertical suspension lines are drawn out. There are normally three of these; in this case, however, a fourth line has been drawn in order to correct the asymmetry of the mouth. Before drawing these lines, the operator lifts the facial volumes with the fingers until a pleasing effect is obtained. The excess skin that results from the raising of the facial volumes will be removed once the elastic threads have been implanted.
The first suspension thread will be implanted about 2 cm from the ear, and the second about 2 or 3 cm from the first. The third thread normally lifts the malar region or exerts traction on the orbicular muscle.
Video Languages: English - Italian Preoperative images of a 60-year-old patient, who was a smoker. The patient wanted to improve the drooping skin of his neck and of the cervicomandibular angle as naturally as possible. He was looking for an ambulatory procedure which would involve minimal blunt dissection and leave no visible scars. This is the indication of choice for mini-invasive suspension by means of the elastic thread mounted on the Jano needle (straight, two-tipped needle). The structure of the thread can be seen in the inset.
This patient suffered from lowering of the floor of the nostril, as is typical in labiopalatoschisis. To correct this defect, the nostril has to be raised by a third of its total height.
First, an area of the abdominal region is anaesthetised in order to carry out Adipofilling in the lip. A slight correction of the vermilion border is made.
The procedure to raise the floor of the nostril now begins. A N° 15 scalpel is used to make a small incision anterior to the inferior border of the nostril. The blade penetrates to the desired depth. Creation of a prosthetic pocket is now started by means of small round-tipped scissors. Blunt dissection is delicately performed beneath the scar, in the direction of the columella. Dissection extends to the lower portion of the columella. The operator’s assistant uses a finger to check the distance of the dissection from the mucosa. The pocket is now created under the wing of the nose. The operator keeps to the bony plane. .
KEYWORDS: labiopalatoschisis, hare lip, raising the floor of the nostril
This patient requested an Elastic MACS lift (Minimal Access Cranial Suspension–lift) and an Elastic neck lift.
The new elastic thread (Elasticum®, Korpo srl) enables vertical face-lifting with minimal blunt dissection and neck-lifting without blunt dissection to be carried out simultaneously. This ambulatory procedure is performed under local anaesthesia.
The operation begins with liposuction of a small amount of fat from the submental region.
An incision is then made around the sideburn, which has previously been shaved back by 1 cm. The incision is undulated and forms a loop that extends to the preauricular region. In the area of the sideburn, the scalpel is inclined so as not to damage the hair bulbs. Blunt dissection, which is much less ample than in traditional MACS lift procedures, is carried out immediately beneath the hair bulbs. Blunt dissection is started with the scalpel and terminated with scissors.
On completion of blunt dissection, a demographic pen is used to mark out the points where the elastic thread is to be inserted; these points are located at 1.5 cm and 3.5 cm from the preauricular fold, on a line running from below the earlobe to the corner of the mouth.
This patient was 85 years old.
Before elastic lifting of the neck is performed in elderly patients, the amount of excess adipose tissue in the neck and cheeks must be evaluated. This will be removed by means of liposuction. First, local anaesthesia with 1% lidocaine with epinephrine is carried out along the U-shaped incision in the lower half of the pavilion of each ear. The areas in which liposuction is to be performed are then anaesthetised with a dilute solution of anaesthetic. Anaesthesia is also carried out along the line of the cervico-mandibular angle, where the elastic thread will be implanted.
After performing limited dissection of the skin around the ears (a little more than twice the skin that is to be removed), the operator begins liposuction.
After undergoing an elastic MACS lift of the cheeks, this patient also noted a marked improvement in the lateral cervical region. However, some excess skin remained in the central area of the neck. This defect can easily be corrected by means of elastic neck lifting; unlike traditional lifting techniques, this procedure does not require blunt dissection of the skin of the neck..
Facial paralysis can easily be corrected by means of the new elastic thread (Elasticum, Korpo srl) equipped with an atraumatic two-tipped needle. The two-tipped needle enables permanent volumetric lifting to be carried out exactly where it is needed. This patient had undergone removal of the parotid gland and requested plastic correction for the ensuing paralysis of the facial nerve. In this procedure, the pathway of the elastic threads is drawn on the patient's face. Five threads will be implanted: one to lift the outer corner of the eyebrow, one to lift the cheek, two for the nasolabial fold and one to lift the orbital/malar region. The operation is carried out under local anaesthesia. First, a minimal MACS lift incision is made, which stops at the tragus. A small flap is then dissected above the superficial temporal fascia; alternatively, dissection may be performed at the level of the deep temporal fascia..
Elastic MACS lift is one of the face-lifting procedures of Elastic Plastic Surgery. This ambulatory procedure yields excellent aesthetic results and involves minimal blunt dissection of the tissues. The operation can be performed in an ordinary surgical ambulatory. An incision is made which loops around the sideburn and continues to the tragus. Depending on the amount of excess skin, the incision may end at the tragus or, as in the case described, extend to the earlobe. In the temporal region, subcutaneous dissection is carried out immediately below the hair bulbs, above the superficial temporal fascia. The elastic thread (Elasticum, Korpo SRL), equipped with a two-tipped atraumatic needle (Jano Needle®), enables skin dissection and its associated complications to be kept to a minimum. If neck lifting is to be carried out at the same time, the peri-auricular incision is extended to the lobe and, in patients with severe drooping of the skin, to the posterior portion of the ear. Dissection of the skin around the inferior portion of the ear is directly proportional to the amount of skin that needs to be removed (see Elastic Neck Lift)..
Congenital agenesia of the facial nerve is a very rare and invalidating pathology. In this patient, the flaccidity due to the absence of the VII encephalic nerve is particularly evident in the lower lip, which is unable to retain liquids and solids in the mouth properly. To overcome this problem, we decided to use an EP 3.5 Elasticum® thread (Korpo SRL), which is equipped with an atraumatic two-tipped Jano needle®. As this needle is able to rotate through 360° (180°+180°), it enables us to implant an elastic thread that runs from one temporal region to the other, passing through the subcutaneous tissue of both cheeks and the lower lip. In this way, the Elasticum® thread provides permanent suspension of the lip.read more
KEYWORDS: agenesia of the facial nerve, elastic suture, atraumatic two-tipped needle.
This patient requested revision of a scar on the chin and, at the same time, correction of chin ptosis. The area of scarring is first designated. The pathway of the elastic thread (Elasticum®) is then drawn. Excision is started; the scar tissue is removed, while the deep dermis is preserved. The two-tipped Jano needle® is now inserted into the wound and the thread is fixed to the deep tissues of the chin. The tip of the needle emerges from the skin at the designated point.
This patient, who had already undergone eyebrow lifting with skin excision, wanted the outer corners of her eyebrows to be raised by another few millimetres. To achieve this, we used the two-tipped Jano needle® to implant a new elastic thread (Elasticum®, Korpo SRL) through two small, inconspicuous incisions. The preoperative design is first drawn and local anaesthesia carried out. The first incision is made at the hairline, above the temporal muscle, and the Jano needle® is inserted in the direction of the eyebrow. The anterior tip of the needle emerges from the skin just beyond the eyebrow. The needle is partially extracted and the elastic thread is pulled through..
lifting of the eyebrow, Elasticum®, elastic suture, two-tipped needle, Jano needle®.
The excision of large scarred skin areas often involves enlarging the scar due of the increased tension that is created on the edges of the wound.
To get round this problem we have used the new elastic suture (Elasticum®) which has a two tipped Jano needle® (Korpo srl Genoa Italy). This new suture allows us remove the tension in the areas around the wound to therefore obtain a better quality of scar.
Elastic lifting of the cheeks without blunt dissection of the skin is indicated in patients who wish to have facial volumes lifted without extensive incisions and without dissection of the tissues.
Lifting is carried out through small incisions of 4 or 5 mm after a centimetre of the sideburns has been shaved off. Once the incisions have been made, tweezers are used to reach the deep temporal fascia, which is the point of anchorage of the elastic thread. This elastic thread (Elasticum®, Korpo SRL) does not cut into the tissues and becomes an integrated suspensive ligament.
Lifting without blunt dissection is made possible by the two-tipped atraumatic needle (Jano needle®) designed, like the elastic thread itself, by the Capurro Research Group.... read more
KEYWORDS: face lifting, Elasticum®, atraumatic two-tipped Jano needle®, elastic suture..